A deficiency of vitamin B12 may lead to one or all of the following: anemia, impaired digestion due to malformation of villi and inflammation. Vitamin B12 is obtained from animal proteins in our diet.
Low levels of vitamin B12
There are clinical tests that are employed to determine the levels of this vitamin, but they are not very comprehensive. It has been found that low ranges are too low and normal-low levels are linked to developing neurologic symptoms including memory lapse, mania, difficulty balancing, psychosis and fatigue.
Vitamin B12 is released after digestion by the action of hydrochloric acid and protease enzyme. People with Hashimoto’s have a risk of having B12 deficiency since they have a tendency to be with low stomach acid. Vitamin B12 is fortified in some processed food such as bread and ingestion of such foods can mask the deficiency.
Foods which are naturally rich in vitamin B12 are
- Milk and its products
Vitamin B12 is rarely found in vegetables and other plants, therefore, vegetarians have an increased risk of developing a deficiency of this vitamin. Taking vitamin B12 supplements is helpful for vegetarians especially those suffering from pernicious anemia and low stomach acid, until the deficiency is healed.
Vitamin B12 supplements can be administered in form of tablets, sublingual (under the tongue) liquids and as an injection. The sublingual route is most favorable with added advantages to it compared to giving injections.
For starters, the initial dose through the sublingual route is 1 mg to 3mg of vitamin B12 for 10 days, and the subsequent doses are given once per week. It has been witnessed that monthly doses are very resourceful in restoring vitamin B12 levels for people who suffered a deficiency.
Pure Encapsulations brand of methylated B12 is advised for most people with Hashimoto’s.